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Boutonniere deformity, also called buttonhole deformity, can happen due to rheumatoid arthritis. The middle finger joint will bend toward the palm while the outer finger joint may bend opposite the palm. It may be the result of chronic inflammation of the finger's middle joint. Treatment may include splinting to keep the middle joint extended.
Rheumatoid arthritis is just one type of arthritis out of many. Patients with rheumatoid arthritis often wake up with stiff and swollen joints. Early on, many patients feel tired. While this condition can affect many parts of the body, two thirds of patients with rheumatoid arthritis have wrist and hand problems. Often, the joints feel hot and look red. Rheumatoid arthritis is most common in the wrist and knuckles (Figure 1). It typically happens in both hands. Three other common types of arthritis include: Wear and tear arthritis (osteoarthritis)